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Self management plus usual care was more effective than usual care alone for lower urinary tract symptoms in men

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 Q In men with lower urinary tract symptoms, is a self management programme effective as a first line intervention?

Clinical impact ratings GP/FP/Primary care ★★★★★★☆ Surgery—urology ★★★★★☆☆


Embedded ImageDesign:

randomised controlled trial.

Embedded ImageAllocation:


Embedded ImageBlinding:


Embedded ImageFollow up period:

1 year.

Embedded ImageSetting:

outpatient departments of 2 urological centres in London, UK.

Embedded ImagePatients:

140 men who were >40 years of age (mean age 63 y) and had lower urinary tract symptoms. Exclusion criteria were drug treatment (α blocker, 5 α reductase inhibitor, or anticholinergic drug), recent surgery, complications potentially related to their symptoms, or severe comorbidity.

Embedded ImageIntervention:

self management plus usual care (n = 73) or usual care alone (n = 67). Self management consisted of small group sessions (5–8 men) at 1, 2, and …

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  • * See glossary.

  • For correspondence: Dr J van der Meulen, London School of Hygiene and Tropical Medicine, London, UK. jan.vanderMeulen{at}

  • Source of funding: BUPA Foundation Project.